scholarly journals To the 90-th Anniversary of Maya K. Bukhrashvili

2021 ◽  
Vol 11 (2) ◽  
pp. 227-231
Author(s):  
Vladimir I. Petlakh
Keyword(s):  
Children's Hospitals ◽  
Professional Activities ◽  
Children's Hospital ◽  
Children’S Hospitals ◽  
Chief Physician ◽  
Children’S Hospital

Description of the professional activities and merits of the chief physician of one of the oldest children's hospitals in Moscow - .K.A. Timiryazev Children's Hospital №20 - Maya K. Bukhrashvili, celebrating her anniversary.

scholarly journals MENISCUS REPAIR VERSUS DEBRIDEMENT FOR MENISCAL TEARS IN PEDIATRIC PATIENTS – PREDICTORS FOR TREATMENT BASED ON DEMOGRAPHICS

2019 ◽  
Vol 7 (3_suppl) ◽  
pp. 2325967119S0016
Author(s):  
Lauren Agatstein ◽  
Alton W. Skaggs ◽  
Matthew J. Brown ◽  
Nicole Friel ◽  
Brian Haus
Keyword(s):  
Pediatric Patients ◽  
Private Insurance ◽  
Meniscal Repair ◽  
Meniscus Repair ◽  
Meniscus Tear ◽  
Children's Hospitals ◽  
Children's Hospital ◽  
Children’S Hospitals ◽  
Meniscus Tears ◽  
Children’S Hospital

BACKGROUND: Pediatric and adolescent patients with meniscus tears have a relatively high rate of healing after meniscus repair – up to greater than 80% in the literature. Despite this fact, many patients undergo meniscus debridement for treatment of their meniscus tears. In this study, we investigated the demographic factors predictive of whether a pediatric patient would receive a meniscal repair or a meniscal debridement for their meniscal tear. METHODS: The California statewide ambulatory surgery database (OSHPD) was queried for all patients under 18 years old who underwent meniscus debridement or meniscus repair from 2008-2016. The effect of age, hospital setting (adult versus pediatric hospital), injury chronicity, gender, insurance type, race, and year of service was assessed using logistic regression. RESULTS: A total of 13,906 pediatric patients had meniscal surgery during the timeframe. 83% (11,561/13,906) underwent meniscal debridement and 17% (2,345/13,906) underwent meniscal repair. Age, hospital type, nature of injury, gender, private insurance, being Hispanic, and year of service were statistically significant in predicting the odds of having meniscus repair versus meniscus debridement. Surgery at a children’s hospital increases the odds of having meniscus repair (p < 0.001). Of the 82.6% of pediatric patients (11,491/13,906) treated at non-children’s hospitals, 16% (1839) had repair and 84% underwent debridement (9,652). Of the 17.4% (2,415) treated at children’s hospitals, 21% (506) had repair and 79% (1,909) underwent debridement. As patients age, the odds of receiving a meniscus repair decrease (p < 0.001). Acute meniscus injury (p < 0.001) or private insurance (p < 0.05) increase the odds of having meniscus repair. However, females (p < 0.05) and Hispanics (p < 0.01) had decreased odds of having meniscus repair. As time between injury and surgery progressed, the odds of having meniscus repair versus meniscus debridement increased (p < 0.001). CONCLUSIONS: There is increasing evidence that pediatric patients have successful outcomes after meniscal repair surgery. The results of this study demonstrate that the majority of pediatric patients with meniscus tears undergo a meniscal debridement rather than a repair. Treatment at a children’s hospital, private insurance, and a short time frame between injury and surgery were positive predictors of meniscus repair over debridement. The results of the study may help inform patients, families, and referring physicians about what type of treatment a patient may receive for a meniscus tear, based on their demographic profile.

scholarly journals Impact of the meaningful use incentive program on electronic health record adoption by US children's hospitals

2015 ◽  
Vol 22 (2) ◽  
pp. 390-398 ◽  
Author(s):  
Mari M. Nakamura ◽  
Marvin B. Harper ◽  
Allan V. Castro ◽  
Feliciano B. Yu ◽  
Ashish K. Jha
Keyword(s):  
Electronic Health Record ◽  
Meaningful Use ◽  
Pediatric Care ◽  
Health Record ◽  
Children's Hospitals ◽  
Children's Hospital ◽  
Incentive Program ◽  
Children’S Hospitals ◽  
Children’S Hospital ◽  
Electronic Health

Abstract Objective We determined adoption rates of pediatric-oriented electronic health record (EHR) features by US children's hospitals and assessed perceptions regarding the suitability of commercial EHRs for pediatric care and the influence of the meaningful use incentive program on implementation of pediatric-oriented features. Materials and Methods We surveyed members of the Children's Hospital Association. We measured adoption of 19 pediatric-oriented features and asked whether commercial EHRs include key pediatric-focused capabilities. We inquired about the meaningful use program's relevance to pediatrics and its influence on EHR implementation priorities. Results Of 164 general acute care children's hospitals, 100 (61%) responded to the survey. Rates of comprehensive (across all pediatric units) adoption ranged from 37% (age-, gender-, and weight-adjusted blood pressure percentiles and immunization contraindication warnings) to 87% (age in appropriate units). Implementation rates for several features varied significantly by children's hospital type. Nearly 60% of hospitals reported having EHRs that do not contain all features essential for high-quality care. A majority of hospitals indicated that the meaningful use program has had no effect on their adoption of pediatric features, while 26% said they have delayed or forgone incorporation of such features because of the program. Conclusions Children's hospitals are implementing pediatric-focused features, but a sizable proportion still finds their systems suboptimal for pediatric care. The meaningful use incentive program is failing to promote and in some cases delaying uptake of pediatric-oriented features.

Let's stop looking over our shoulders

PEDIATRICS ◽  
1975 ◽  
Vol 56 (3) ◽  
pp. 345-347
Author(s):  
Abraham B. Bergman
Keyword(s):  
Community Hospital ◽  
Governing Board ◽  
Teaching Program ◽  
Children's Hospitals ◽  
Children's Hospital ◽  
Children’S Hospitals ◽  
Children’S Hospital ◽  
The Right

Of course, I am biased, but I think the place I work is one of the best children's hospitals in the country. We are both a community hospital, where physicians admit their own private patients, and a university-affiliated hospital with a substantial teaching program, a sometimes tense, but generally beneficial combination. We also have an all-women governing board, which is a blessing for a children's hospital. Their ultimate yardstick on tough decisions is to do what's best for the kids. I'm not smug. My colleagues will testify that I perpetually carry a yard-long laundry list of suggested improvements. Overall, though, I'm proud of our hospital and think we're on the right track.

scholarly journals Analysis of the Design Process of Green Children's Hospitals: Focus on Process Modeling and Lessons Learned

2009 ◽  
Vol 4 (1) ◽  
pp. 121-134 ◽  
Author(s):  
M.M Bilec ◽  
R.J Ries ◽  
K.L Needy ◽  
M Gokhan ◽  
A.F Phelps ◽  
...  
Keyword(s):  
Design Process ◽  
Medical Center ◽  
Children's Hospitals ◽  
Healthcare Facilities ◽  
Children's Hospital ◽  
Children’S Hospitals ◽  
Complex Design ◽  
Children’S Hospital ◽  
Design Requirements ◽  
The Impact

Healthcare facilities are among the most complicated facilities to plan, design, construct and operate. A new breed of hospitals is considering the impact of the built environment on healthcare worker productivity and patient recovery in their design, construction, and operation. A crucial subset of healthcare facilities are children's hospitals where the consequences of poor building system design and performance have the potential to seriously impact young lives with compromised health. Green facilities are not always pursued: they are perceived as difficult to build and costing more than equivalent conventional hospitals. This study explored the design process of the Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center (UPMC) and Penn State's Hershey Medical Center Children's Hospital to understand the critical steps and processes for green children's hospital design. Producing a series of process maps that identify the key characteristics in the complex design requirements of a green children's hospital, this paper reveals the importance of design process to design quality. More broadly, this research will help future project teams meet the complex design requirements of green children's hospitals.

PRESIDENT'S MESSAGE

PEDIATRICS ◽  
1961 ◽  
Vol 28 (2) ◽  
pp. 328-330
Author(s):  
George M. Wheatley
Keyword(s):  
Children's Hospitals ◽  
Recent Letter ◽  
Children's Hospital ◽  
Medical Centers ◽  
Children’S Hospitals ◽  
Children’S Hospital ◽  
Pediatric Service ◽  
The University ◽  
Special Hospitals ◽  
Made In

SEVERAL months ago I had the privilege of visiting Winnipeg, in Saskatchewan, Canada, at the invitation of the Academy Chapter there, to address the 52d annual meeting of the Children's Hospital. My talk at the meeting was an effort to answer the question: "What lies ahead for children's hospitals?" I know that many pediatricians and others, much more experienced in this complex subject than I, are seeking the answer. Perhaps exposing you to some excerpts from my Winnipeg talk will stimulate discussion of the future of this important factor in child health. The progress made in the care of children in general hospitals and the strengthening of pediatric service in university medical centers raises the question: "Do we need special hospitals for children?" Dr. J. W. Gerrard, Professor of Paediatrics at the University of Saskatchewan, in a recent letter to me sums up the case for children's hospitals very well. He says: 1. Children's hospitals set the standards of treatment, care and investigations for routine pediatric problems. There is no doubt, for example, that acute infantile gastroenteritis is handled very much more efficiently in a children's hospital by pediatricians than in a general hospital where children are cared for, possibly by pediatricians, but more probably by general practitioners. Not only will the treatment be better in the children's hospital, but the children's hospital will be to an advantage because its services, and in this particular, its biochemical services, will be tailored to meet the needs of children; analyses will be carried out on small amounts of blood, not on the large quantities required by laboratories dealing mainly with adults. 2. A children's hospital is advantageous because not only do perplexing problems, but skilled pediatricians as well, tend to gravitate towards it, and there is always the opportunity, should the need arise, to call in colleagues in consultation. 3. In a children's hospital, common problems tend to be grouped together, e.g., children with leukemia, heart disease, nephrosis and so on, providing the opportunity for pediatricians to specialize in a particular field; they then gain experience which helps to raise the standards of treatment and research in these fields. 4. A children's hospital provides students and interns with a chance to review all or most pediatric problems within a relatively short span of time, so that when they go out into practice they will be able to recognize the rare and the strange, for they will be seeing diseases which they have already had a chance to study and treat. 5. Children's hospitals provide excellent centers for the dissemination of new knowledge to those in practice, particularly at so-called "refresher courses," and in this way keep those in practice up to date.

scholarly journals SLAP TEARS IN THE PEDIATRIC PATIENT: WHO IS TREATING THEM AND WHERE?

2019 ◽  
Vol 7 (3_suppl) ◽  
pp. 2325967119S0005
Author(s):  
Lauren Agatstein ◽  
Matthew J. Brown ◽  
Nicole Friel ◽  
Brian Haus
Keyword(s):  
Sports Medicine ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Children's Hospitals ◽  
Children's Hospital ◽  
Pediatric Hospitals ◽  
Insurance Type ◽  
Slap Repair ◽  
Children’S Hospitals ◽  
Children’S Hospital

BACKGROUND: Although rare in comparison to adult cohorts, superior labral anterior to posterior (SLAP) tears do occur in children and adolescents. Previous publications have focused on the varied surgical treatments of SLAP tears in pediatric hospitals but have not stratified treatments by surgeon training or hospital setting. The objective of this study is to evaluate the demographics of patients under the age of 18 undergoing SLAP surgery as well as to evaluate the influence of hospital setting (hospital self-designation as pediatric vs. non-pediatric) and the trends of treatment choice (debridement versus repair) over a period of time. METHODS: The California statewide outpatient database (OSHPD) was queried for all patients under 18 years old who underwent a SLAP debridement or repair in the state of California between 2008 and 2016. The effect of age, hospital setting (pediatric versus adult hospital), gender, insurance type, race, and year of service were assessed using logistic regression. RESULTS: A total of 1,349 patients under age 18 years underwent surgery for a SLAP tear between 2008 and 2016. SLAP repair was performed in 83.8% of patients while SLAP debridement was performed in 16.2% of patients. 80.9% of patients were treated at non-children’s hospitals and 19.1% were treated at children’s hospitals. At non-children’s hospitals, 161 (14.7%) had SLAP debridement and 931 (85.3%) had SLAP repair. At children’s hospitals, 57 patients (22.2%) had SLAP debridement and 200 (77.8%) had SLAP repair. The odds of having a SLAP repair over SLAP debridement decreases by a factor of .58 (p < 0.01) when patients have surgery at a children’s hospital versus at a non-children’s hospital. Age, gender, race, and insurance type were not statistically significant in predicting whether patients underwent SLAP repair versus debridement. Analysis of each individual year of service over the study period from 2008 to 2016 revealed the odds of having a SLAP repair over debridement increased each year by a factor of 1.1 (p < 0.001). CONCLUSIONS: The majority of surgeries treating SLAP tears in patients under the age of 18 are performed in non-pediatric hospitals. However, previous literature reporting on outcomes of SLAP surgery on patients under 18 is based in tertiary care pediatric centers,, which is likely not representative of this patient population. We hypothesize that this discrepancy may be due to shoulder surgeries more often being performed by sports medicine trained orthopedic surgeons who are not tied to operating in pediatric hospitals. Further, the yearly increased rate of SLAP repair over debridement is likely due to the prevailing knowledge in the orthopedic sports literature that repair is preferable to debridement in younger patients.

At the origins of Saint-Petersburg state pediatric medical university: the contribution by an outstanding pediatrician K. A. Rauchfuss

2014 ◽  
Vol 5 (2) ◽  
pp. 3-13
Author(s):  
Vladimir Viktorovich Levanovich ◽  
Galina Lvovna Mikirtichan ◽  
Irina Aleksandrovna Savina
Keyword(s):  
Children's Hospitals ◽  
Saint Petersburg ◽  
Children's Hospital ◽  
Age Related ◽  
Children’S Hospitals ◽  
Children’S Hospital ◽  
Medical University

Based on archival and published materials, the article describes the activity of an outstanding pediatrician and one of the founders of pediatrics in Russia K. A. Rauchfuss (1835-1915). His contribution to clinical pediatrics, training of pediatricians and the development of new children’s hospitals with regard to the age-related pathology, as well as the style of his management and principles of building relationship with colleagues, patients and their relatives is consi-dered. The role of K. A. Rauchfuss in the organization of the Children’s Hospital in Memory of Sacred Coronation of their Imperial Majesties (Saint-Petersburg, 1905) and his idea to open the Institute for the Protection of Motherhood and Infancy are highlighted. At present, the Saint-Petersburg State Pediatric Medical University is taking steps to commemorate the name of K. A. Rauchfuss, particularly to restore the memorial plaque that was put on the wall of one of the pavilions in 1909.

scholarly journals Academic Pathology Departments and Associated Children’s Hospitals: An Overview of the Relationship

2020 ◽  
Vol 7 ◽  
pp. 237428952096493
Author(s):  
David N. Bailey
Keyword(s):  
Health System ◽  
Clinical Services ◽  
Children's Hospitals ◽  
Academic Health ◽  
Vast Number ◽  
Children's Hospital ◽  
Pathology Department ◽  
Children’S Hospitals ◽  
Children’S Hospital ◽  
The Relationship

A survey of academic pathology departments was conducted in order to evaluate the relationship with their associated children’s hospitals. Forty percent (88) of US children’s hospitals were associated with academic pathology departments. Sixty percent of pathology department respondents indicated that their children’s hospital was part of their academic health system. As a reflection of this, the majority (54%) of all respondents reported that their children’s hospitals were physically located within the academic health care system itself. Accordingly, a vast number (94%) of academic departments reported that they performed the clinical services for those children’s hospitals that were part of their academic health system. For those associated children’s hospitals that were not part of the academic health system, 70% of respondents reported that the academic pathology department provided at least some clinical services for them. The number of pathologists in the children’s hospital pathology departments that were not part of the academic health system ranged from 1 to 5 (41%), 6 to 10 (18%), and >10 (41%), with one-third having salaried faculty appointments in the academic pathology department. The chief of pathology in those children’s hospital departments was part of the academic department leadership team in half of the cases. Although 86% of respondents reported that pathology residents rotate through the associated children’s hospital, in only 26% of instances did the children’s hospital provide resident support for the academic pathology department. The perceived strengths and weaknesses of the relationship between academic pathology departments and associated children’s hospitals are discussed.

scholarly journals Holiday Gifting at a Children’s Hospital: Sacred Ritual, Sacred Space

2018 ◽  
Vol 48 (5) ◽  
pp. 591-618
Author(s):  
Liberty Barnes
Keyword(s):  
Cultural Beliefs ◽  
The United States ◽  
Service Organizations ◽  
Children's Hospitals ◽  
The Public ◽  
Children's Hospital ◽  
Children’S Hospitals ◽  
Scientific Institutions ◽  
Children’S Hospital ◽  
Sick Children

Every Christmas season children’s hospitals in the United States are flooded with gift donations. Businesses, service organizations, and the public deliver carloads of new toys, puzzles, games, books, electronics, sports equipment, art supplies, cosmetics, blankets, and clothing for sick children. The practice is so common and widespread that donors rarely ask whether they may donate, what types of donations are welcome, and when and where they should deliver their donations. Based on ethnographic observations of holiday gifting at University Children’s Hospital, a nationally ranked pediatric hospital on the West Coast, the purpose of this paper is to investigate the implicit cultural beliefs that guide holiday gifting practices. Eschewing the popular rhetoric of American hyper-consumption and hedonism, I use a Durkheimian framework to argue that holiday gifting in children’s hospital is a sacred ritual. The data presented describe the wide-ranging variety of donors—from Boy Scouts to nightclub strippers—who journey to the hospital bearing gifts. Drawing on sacred conceptualizations of childhood and gifting in American culture, I argue that children’s hospitals are more than medico-scientific institutions. They represent sacred unifying spaces and the heart of their local communities where individuals and organizations come to privately and publicly reaffirm their moral commitments to society through holiday gifting.

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